A nurse is planning care for an adolescent who has sickle cell anemia.
Which of the following immunizations should the nurse include in the plan?
Pneumococcal conjugate (PCV13).
Rotavirus.
Measles, mumps, and rubella (MMR).
Respiratory syncytial virus (RSV).
The Correct Answer is A
The pneumococcal conjugate vaccine (PCV13) is one of the immunizations recommended for people with sickle cell anemia.
People with sickle cell disease are immunocompromised and have an increased risk of infection, so immunizations are an important part of their care.
Choice B is not the best answer because the rotavirus vaccine is not specifically recommended for people with sickle cell anemia.
Choice C is wrong because the MMR vaccine is not specifically recommended for people with sickle cell anemia.
Choice D is wrong because there is no vaccine for respiratory syncytial virus (RSV).
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
According to the normal pediatric vital signs chart provided by Cleveland Clinic, the normal blood pressure range for a 2-year-old child should be between 90- 105/55-70 mm Hg. The blood pressure of 118/74 mm Hg is higher than the normal range for a 2- year-old child and should be reported to the provider.
Choice B is wrong because a respiratory rate of 26/min falls within the normal range of 20-30 breaths per minute for a child between ages 1 and.
Choice C is wrong because a pulse rate of 98/min falls within the normal range of 80-125 beats per minute for a child between ages 1 and.
Choice D is wrong because a temperature of 37.2° C (99° F) falls within the normal range for children which is around 98.6 degrees.
Correct Answer is D
Explanation
An increased respiratory rate is a sign of severe dehydration in infants.
Dehydration occurs when an infant loses so much body fluid that they are not able to maintain ordinary function.
Choice A is wrong because hypertension is not a sign of severe dehydration in infants.
Choice B is wrong because increased urine output is not a sign of severe dehydration in infants.
In fact, decreased urine output is a sign of dehydration 2.
Choice C is wrong because a capillary refill of 2 seconds is normal and not a sign of severe dehydration in infants.
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